Shared Decision-Making in Mental Health Care - SAMHSA Store ...
Shared Decision-Making in Mental Health Care - SAMHSA Store ...
Shared Decision-Making in Mental Health Care - SAMHSA Store ...
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31Section 6Conclusions<strong>Shared</strong> decision-mak<strong>in</strong>g holds substantial promise to advance the goals of many <strong>in</strong>itiativesfocused on improv<strong>in</strong>g care and promot<strong>in</strong>g recovery for persons with mentalillnesses. Because it supports consumers’ self-determ<strong>in</strong>ation and their <strong>in</strong>volvement<strong>in</strong> decisions about their care and aids consumers <strong>in</strong> identify<strong>in</strong>g and advanc<strong>in</strong>g theirvalues and preferences, SDM can also be viewed as a basic human right. In that light,the question is not whether to advance SDM, but how best to do so.There is much still to learn regard<strong>in</strong>g SDM, <strong>in</strong>clud<strong>in</strong>g the roots of reluctance toimplement SDM—among providers, consumers, and the public. Realistic expectationsabout the results of broader implementation will be developed only throughsuch implementation. Strategies for implement<strong>in</strong>g SDM with<strong>in</strong> the mental healthfield and implications for its use <strong>in</strong> diverse cultural sett<strong>in</strong>gs need further exploration.The promise of shared decision-mak<strong>in</strong>g and <strong>in</strong>creas<strong>in</strong>g recognition of the cost of thecurrent system of care—<strong>in</strong> both mortality and vitality—underscore the urgent needsfor better understand<strong>in</strong>g and wider implementation of SDM.<strong>Shared</strong> <strong>Decision</strong>-<strong>Mak<strong>in</strong>g</strong> <strong>in</strong> <strong>Mental</strong> <strong>Health</strong> <strong>Care</strong>:Practice, Research, and Future Directions